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Request for consideration
 
I am completing this form with the understanding that it puts me under no obligation, but allows and Budgetax to make an initial evaluation of my candidacy as a prospective Budgetax Corporation franchisee. Upon evaluation of this application, and Budgetax Corporation may provide additional information to qualified candidates.

I understand that the information I am receiving from Budgetax Corporation, or from any Budgetax employee, agent, or franchisee is highly confidential and is being made available to me because of this application, and I will hold it in the strictest confidence.
 
Information About Yourself
Name:
Home Address:
City:
State: Zip Code:
Home Phone: Best Time to Call:
Work Phone: Best Time to Call:
Mobile Phone:    
Email Address: Date of Birth:
Marital Status:    
Number of Dependants: Age of Dependants:
Residence: Length of Time at Current Residence?
Spouse's Name: Occupation:
 
Educational Background
  You Your Spouse
Highest Level Completed:
Highest Degree Earned:
Major Field of Study:
Name of College/University
 
Business Information
Self Employed: Yes No    
Name of Employer: Title:
Employed From: DD MM  YY Annual Salary:
Have you ever operated a business? Yes No A Franchise?: Yes No
General Information
How did you first learn about this franchise opportunity?   
Have you visited/know any of our other franchises or know any Budgetax employees? Yes No
If yes, which ones?
Is there any other information you would like to provide us?
 

Legal Disclaimer: This information is not intended as an offer to sell, or the solicitation of an offer to buy, a franchise.  It is for information purposes only.  Currently, the following states regulate the offer and sale of franchises: California, Hawaii, Illinois, Indiana, Maryland, Michigan, New York, North Dakota, Oregon, Rhode Island, South Dakota, Virginia, Washington, and Wisconsin.”